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Under the auspices of/Sous l'égide de - International Academy of ...

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295.6. Workplace Empowerment as a Predictor <strong>of</strong> Nurse Burnout and Mental Health inCanadian Health Care SettingsHea<strong>the</strong>r K. Spence Laschinger , University <strong>of</strong> Western Ontario (hkl@uwo.ca)Joan Finegan, University <strong>of</strong> Western OntarioJudity Shamian, University <strong>of</strong> Western OntarioPiotr Wilk, University <strong>of</strong> Western OntarioNurses have been hit hard by health care restructuring initiatives in Canada. There is evi<strong>de</strong>nce to suggestthat ra<strong>the</strong>r than increase productivity, <strong>the</strong>se changes have resulted in increased work stress among nurses,greater risk for medical error, patient dissatisfaction and possibly litigation. It is critical to find ways to helpnurses do <strong>the</strong>ir work more effectively to avoid endangering patient care. Employee empowerment has beensuggested as a strategy to foster improved performance and lower job stress. Kanter’s (1993) Theory <strong>of</strong>Organizational Empowerment provi<strong>de</strong>s a framework for investigating <strong>the</strong> role <strong>of</strong> empowering workconditions on nurses’ mental health. This study tested a mo<strong>de</strong>l linking <strong>the</strong> effects <strong>of</strong> empowerment at onepoint in time to nurses’ reports <strong>of</strong> burnout and mental health three years later.A longitudinal <strong>de</strong>sign was used to test <strong>the</strong> mo<strong>de</strong>l in a random sample <strong>of</strong> 192 Canadian staff nurses.Measures <strong>of</strong> structural and psychological empowerment and mental health and burnout were mailed to arandom sample <strong>of</strong> registered nurses (Conditions <strong>of</strong> Work Effectiveness Questionnaire-II: PsychologicalEmpowerment Scale, and <strong>the</strong> Maslach Burnout Inventory-General Survey.Nurses in this study (44%) reported high levels <strong>of</strong> emotional exhaustion according Maslach’s norms,suggesting <strong>the</strong>y were at risk for severe burnout. Structural equation mo<strong>de</strong>lling analyses revealed a good fit<strong>of</strong> <strong>the</strong> data to <strong>the</strong> hypo<strong>the</strong>sized mo<strong>de</strong>l (Chi-square=198.68, df=85, IFI=.90, CFI=.90, RMSEA=.08).Perceptions <strong>of</strong> structural empowerment had a significant direct effect on psychological empowerment atTime 1 (.435), which in turn, had a significant effect (-.283) on perceptions <strong>of</strong> emotional exhaustion atTime 2 (3 years later).Nurses’ perceived access to workplace empowerment structures resulted in increased psychologicalempowerment at Time 1 and <strong>the</strong>se feelings <strong>of</strong> empowerment were predictive <strong>of</strong> lower burnout levels atTime 2. These results streng<strong>the</strong>n those <strong>of</strong> previous cross-sectional research linking empowerment toburnout among nurses and suggest that fostering environments that enhance perceptions <strong>of</strong> empowermentcan be an effective way <strong>of</strong> preventing burnout and improve mental health among nurses. The resultsprovi<strong>de</strong> insight for managers, nurses and policy makers regarding <strong>the</strong> applicability <strong>of</strong> Kanter’s workempowerment <strong>the</strong>ory in creating work environments that reduce <strong>the</strong> likelihood <strong>of</strong> job stress and poormental health among nurses.

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